Individual
CASSIDY ANNE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO60751979
Contact information
Practice address
307 W WALNUT ST, YAKIMA, WA 98902-3446
(509) 453-4301
Mailing address
307 W WALNUT ST, YAKIMA, WA 98902-3446
(509) 453-4301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60944490
WA
Other
Enumeration date
10/22/2018
Last updated
04/04/2025
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